基于质量管理工具的护理模式对冠心病介入治疗病人生活质量及心血管不良事件的影响

目的探讨基于质量管理工具的护理模式对冠心病介入治疗病人生活质量及心血管不良事件的影响。方法选择接受经皮冠状动脉介入治疗（PCI）的冠心病病人100例，随机分为观察组和对照组，各50例。对照组采用常规护理管理。观察组采用基于质量管理工具的护理模式。比较2组干预前（入院当日）、干预后（随访3个月）的6 min步行试验检测结果、生活质量评分、护理干预依从性评分，比较2组随访期间心血管不良事件的发生率。结果观察组干预后6 min步行试验检测结果、护理干预依从性评分均显著高于对照组，生活质量评分显著低于对照组（P < 0.01）。观察组随访期间总计心血管不良事件发生率显著低于对照组（P < 0.05）。结论质量管理工具能够分析影响管理目标的影响因素，有助于改善疾病的预后，对冠心病PCI术后病人的康复具有重要意义。

Influence of nursing model based on quality management tools on quality of life and adverse cardiovascular events in patients with coronary heart disease

Objective To explore the influence of nursing model based on quality management tools on quality of life and adverse cardiovascular events in patients with coronary heart disease.Methods One hundred patients with coronary heart disease who underwent percutaneous coronary intervention (PCI) were selected and randomly divided into the observation group and control group.The control group received routine nursing management.The observation group adopted a nursing model based on quality management tools.The results of 6-min walking test, quality of life score and compliance score of nursing intervention were compared between the two groups before intervention (the day of admission) and after intervention (followed up for 3 months), and the incidence of cardiovascular adverse events was compared between the two groups during follow-up.Results The results of walking test and compliance score of nursing intervention in the observation group were significantly higher than those in the control group after intervention, and the scores of quality of life were significantly lower than those in the control group after intervention(P < 0.01).The total incidence of cardiovascular adverse events in the observation group was significantly lower than that in the control group during the follow-up period (P < 0.05).Conclusions The quality management tools can analyze the factors influencing the management objectives, which helps to improve the prognosis of the disease and shows great significance to the rehabilitation of patients with coronary heart disease after PCI.